KATA PENGANTAR

Puji syukur penulis panjatkan ke hadirat Tuhan Yang Maha Esa karena berkat
rahmatNya penulis dapat menyelesaikan Pengalaman Belajar Lapangan (PBL)
yang berjudul Inkontinensia Urin dalam mengikuti Kepaniteraan Klinik
Madya di Bagian Lab/SMF Ilmu Penyakit Dalam FK UNUD/ RSUP Sanglah
tepat pada waktunya.
Dalam penyusunan makalah PBL ini, banyak pihak yang telah
membantu dari awal hingga akhir, baik moral maupun material. Oleh karena
itu pada kesempatan ini, penulis ingin mengucapkan terima kasih kepada :
1) Prof. DR. dr. Tjokorda Raka Putra, Sp.PD-KR selaku Kepala
Lab/SMF Ilmu Penyakit Dalam RSUP Sanglah.
2) Dr. I.B.Putrawan, Sp.PD selaku pembimbing Pengalaman Belajar
Lapangan ini yang telah memberikan banyak masukan dan koreksi
dari makalah ini.
3) Residen dan semua staf Lab/SMF Ilmu Penyakit Dalam RSUP
Sanglah.
4) Rekan-rekan dokter Muda.
5) Semua pihak yang telah turut membantu penyelesaian tugas ini.
Penulis menyadari bahwa makalah Pengalaman Belajar Lapangan
(PBL) ini masih jauh dari sempurna, untuk itu saran dan kritik membangun,
sangat penulis harapkan demi perbaikan tugas serupa di waktu berikutnya.
Semoga makalah ini juga dapat memberi manfaat bagi pihak yang
berkepentingan.

Denpasar, Februari 2012

Penulis

ii

DAFTAR ISI
Halaman
KATA
PENGANTAR
..........................................................................................................................
..........................................................................................................................
ii
DAFTAR
ISI
..........................................................................................................................
..........................................................................................................................
iii
BAB
1.
PENDAHULUAN
..........................................................................................................................
..........................................................................................................................
1
BAB
2.
TINJAUAN
PUSTAKA
..........................................................................................................................
..........................................................................................................................
2
..........................................................................................................................
2.1
Diabetes
Melitus
dan
Neuropati
.................................................................................................................
.................................................................................................................
2
2.2
Inkontinensia
Urin
.................................................................................................................
.................................................................................................................
3
2.2.1
Definisi
Inkontinensia
Urin
...........................................................................................................
...........................................................................................................
3
2.2.2
Penyebab
Inkontinensia
Urin
...........................................................................................................
...........................................................................................................
3
2.2.3
Klasifikasi
Inkontinensia
Urin
...........................................................................................................
...........................................................................................................
3

iii

2.2.4.Fisiologi dan Patofisiologi Inkontinensia Urin Pada Diabetic

Neuropati
..................................................................................................
..................................................................................................
6
2.2.5

Diagnosis
..................................................................................................
..................................................................................................
7

2.2.6

Penatalaksanaan
..................................................................................................
..................................................................................................
10

2.2.7 Dampak
BAB
3.
LAPORAN
KASUS
..........................................................................................................................
..........................................................................................................................
13
3.1
Identitas
Pasien
.................................................................................................................
.................................................................................................................
13
3.2
Keluhan
Utama
.................................................................................................................
.................................................................................................................
13
3.3
Riwayat
Penyakit
Sekarang
.................................................................................................................
.................................................................................................................
13
3.4
Riwayat
Penyakit
Dahulu
.................................................................................................................
.................................................................................................................
14
3.5

Riwayat

iv

Pengobatan

.................................................................................................................
.................................................................................................................
15
3.6
Riwayat
Penyakit
Keluarga
.................................................................................................................
.................................................................................................................
15
3.7
Riwayat
Sosia
Ekonomi
.................................................................................................................
.................................................................................................................
16
3.8
Riwayat
Sosial
Kemasyarakatan
Keagamaan
.................................................................................................................
.................................................................................................................
16
3.9
Penapisan
.................................................................................................................
.................................................................................................................
16
3.10
Pemeriksaan
Fisik
.................................................................................................................
.................................................................................................................
25
3.11
Pemeriksaan
Penunjang
.................................................................................................................
.................................................................................................................
26
3.12
Diagnosis
.................................................................................................................
.................................................................................................................
28
3.13
Rencana
.................................................................................................................
.................................................................................................................
28

3.14
Prognosis
.................................................................................................................
.................................................................................................................
28
3.15
Kunjungan
Rumah
.................................................................................................................
.................................................................................................................
29
3.16
Daftar
Permasalahan
.................................................................................................................
.................................................................................................................
40
3.17
Daftar
Analisis
Kebutuhan
Pasien
.................................................................................................................
.................................................................................................................
40
3.18
Resume
.................................................................................................................
.................................................................................................................
43
3.19
Saran
.................................................................................................................
.................................................................................................................
45
DAFTAR
PUSTAKA
..........................................................................................................................
..........................................................................................................................
46
LAMPIRAN

vi